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Telescope Removal of a Kidney or Ureter Stone

South Carolina rates for HCPCS 52353

A slim telescope is passed up through the urethra and bladder into the ureter, and sometimes on into the kidney, until the stone is in view. Energy delivered through the scope — usually a laser fiber — breaks the stone into fragments small enough to be picked out or passed naturally. Nothing is cut on the outside; a temporary internal drainage tube is often left afterwards and is billed separately.

Rates data updated July 2026.

How much does Telescope Removal of a Kidney or Ureter Stone cost?

$9,550

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $9,550 for this service. Most negotiated rates run $3,802 to $14,791.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9,550 · 10th to 90th $479 to $20,417
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $9,550

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$10,471.29
Typical High
$21,877.62
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$8,709.64
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,168.69
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$16,595.87
Typical High
$25,703.96

Where South Carolina sits

The same service costs 18.6 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Carolina $9,550 · 3rd of 51
IN $10,965MD $589

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.